Individual
DR. MARTIN B BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29927 6 MILE RD, LIVONIA, MI 48152-3670
(734) 522-0800
(734) 522-1236
Mailing address
29927 6 MILE RD, LIVONIA, MI 48152-3670
(734) 522-0800
(734) 522-1236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MB026396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820689
MR ADVANTAGE PIN
MI
05
—
1114098
—
MI
01
—
180820689
BC PIN
MI
01
—
MB026396
STATE LICENSE
MI
01
—
OH24256
BC GROUP PIN
MI
Enumeration date
04/20/2006
Last updated
03/17/2009
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